<div id="_page" style="margin: 0px auto; background: rgb(255, 255, 255); width: 210mm; min-height: 297mm; transform: scale(1, 1); transform-origin: 50% 0px 0px;" pagekind="A4" direct="portrait">
	<div id="_header" style="outline: none; min-height: 1.54cm; padding-left: 1.54cm; padding-right: 1.54cm; padding-top: 0.77cm; position: relative;" class="" contenteditable="false">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">    &nbsp;</p><p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt; font-weight: bold;"><span  data-remark="1.机构名称等基本信息从HIS系统中获取后绑定到病历文档；
	
	2.设置为只读后不可以编辑；
	" data-remark-date="2023/4/29 22:24:31" data-author="admin" class="remark">医疗机构</span></label>
			<label style=" font-family: Calibri; font-size: 10.5pt;">&nbsp;</label>
			<label style=" font-family: Calibri; font-size: 9pt;">&nbsp;</label>
			<field tabindex="0" id="机构名称" name="JGMC" class="input blank" style=" font-family: Calibri; font-size: 12pt; font-weight: bold;" type="Text" value="" title="机构名称">机构名称</field>
			<label style=" font-family: Calibri; font-size: 12pt; font-weight: bold;">&nbsp;</label>
			<label style=" font-family: 宋体; font-size: 9pt; font-weight: bold;">（</label>
			<label style=" font-family: 宋体; font-size: 10.5pt; font-weight: bold;">组织机构编码</label>
			<field tabindex="0" id="组织机构编码" name="ZZJGDM" class="input blank" style=" font-family: 宋体; font-size: 10.5pt; font-weight: bold;" type="Text" value="" title="机构编码" data-create-date="2023/5/5 12:13:44">机构编码</field>
			<label style=" font-family: Calibri; font-size: 9pt; font-weight: bold;">&nbsp;</label>
			<label style=" font-family: 宋体; font-size: 9pt; font-weight: bold;">）</label>
	</p></div>
	
	<div id="_body" style="outline: none; min-height: calc(947.906px); padding-left: 1.54cm; padding-right: 1.54cm;" class="" contenteditable="false">
		<p style="outline: none;">
			<label style="" data-remark-date="2023/4/29 21:50:02" class="">医疗付费方式：</label>
			<span style="outline: none;"><field tabindex="0" id="AR_FP_MEDICALPAYMENT" name="AR_FP_MEDICALPAYMENT" class="input blank" style="" type="DropdownList" value="1" title="1-城镇职工基本医疗保险" data-remark-date="2023/4/29 21:50:46" data-code="" event="undefined" multi="false" data-list="[{&quot;value&quot;:&quot;1&quot;,&quot;text&quot;:&quot;城镇职工基本医疗保险&quot;},{&quot;value&quot;:&quot;2&quot;,&quot;text&quot;:&quot;城镇居民基本医疗保险&quot;},{&quot;value&quot;:&quot;3&quot;,&quot;text&quot;:&quot;新型农村合作医疗&quot;},{&quot;value&quot;:&quot;4&quot;,&quot;text&quot;:&quot;贫困救助&quot;},{&quot;value&quot;:&quot;5&quot;,&quot;text&quot;:&quot;商业医疗保险&quot;},{&quot;value&quot;:&quot;6&quot;,&quot;text&quot;:&quot;全公费&quot;},{&quot;value&quot;:&quot;7&quot;,&quot;text&quot;:&quot;全自费&quot;},{&quot;value&quot;:&quot;8&quot;,&quot;text&quot;:&quot;其他社会保险&quot;},{&quot;value&quot;:&quot;9&quot;,&quot;text&quot;:&quot;其他&quot;}]">医疗付费方式</field>
			</span><label style=" font-family: 宋体; font-size: 14pt; font-weight: bold;"><span style=""> </span>                </label>&nbsp;</p><p style="">&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<label style=" font-family: 宋体; font-size: 15pt; font-weight: bold;"><span style="background-color: white;" data-remark-date="2023/4/29 21:42:53" class="">住 院 病 案 首 页</span></label>
		</p><p style="">
			<label style=" font-family: 宋体; font-size: 9pt;">健康卡号：</label>
			<field tabindex="0" id="健康卡号" name="JKKH" class=" input" style=" font-family: 宋体; font-size: 9pt;" type="Text" value="-" title="健康卡号">
			<label style=" font-family: 宋体; font-size: 9pt;">-</label></field>
			<label style=" font-family: 宋体; font-size: 9pt;">                                 第</label>
			<field tabindex="0" id="次数" name="PA_BEINHOSPITAL_GREE" class="blank input" style=" font-family: 宋体; font-size: 9pt;" type="Text" value="" title="次数">次数</field>
			<label style=" font-family: Calibri; font-size: 9pt;">&nbsp;</label>
			<label style=" font-family: 宋体; font-size: 9pt;">次住院</label>
			<label style=" font-family: Calibri; font-size: 9pt;">&nbsp;</label>
			<label style=" font-family: 宋体; font-size: 9pt;">  </label>
			<label style=" font-family: Calibri; font-size: 9pt;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</label>
			<label style=" font-family: 宋体; font-size: 9pt;">病案号：</label>
			<field tabindex="0" id="病案号" name="PA_BINGAN_CODE" class="blank input" style=" font-family: 宋体; font-size: 15.75pt; font-weight: bold;" type="Text" value="" title="病案号">病案号</field>
		</p><p style="font-family: 宋体; font-size: 10.5pt; outline: none;">
			<table style="outline: none;">
			<colgroup>
			<col style="width:68px">
			<col style="width:66px">
			<col style="width:113px">
			<col style="width:40px">
			<col style="width:46px">
			<col style="width:64px">
			<col style="width:60px">
			<col style="width:51px">
			<col style="width:54px">
			<col style="width:76px">
			<col style="width:16px">
			<col style="width:71px">
			</colgroup><tbody style="outline: none;">
			<tr style="height: 7.76271cm; outline: none; background-color: rgb(255, 255, 255);" id="" title="">
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 5.5pt; padding-right: 5.46875pt; outline: none;" colspan="12">
		<p style="font-family: 宋体; font-size: 10.5pt; outline: none;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">姓名 </label>
			<field tabindex="0" id="PA_NAME" name="PA_NAME" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="姓名" data-code="" validate="false" format="" contenteditable="true">姓名</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 性别 </label><field tabindex="0" id="gend" name="gend" type="Text" class="input blank" title="性别" style="font-size: 10.5pt; outline: none;" data-code="" validate="false" format="" contenteditable="true">性别</field><span style="font-size: 10.5pt;">&nbsp;</span><label style="font-size: 10.5pt;">  出生日期 </label><field tabindex="0" class="input" id="出生日期" name="PA_PRITHTIME" type="DateTime" format="yyyy年MM月dd日" value="2018/4/11" title="出生日期" style="font-size: 10.5pt;">2018/4/11</field><span style="font-size: 10.5pt;">
			</span><label style="font-size: 10.5pt;"> 年龄 </label><span style="font-size: 10.5pt;">
			</span><field tabindex="0" id="nl1" name="nl1" class="input blank" type="Text" value="" title="年龄" style="font-size: 10.5pt;" data-code="" validate="false" format="" contenteditable="true">年龄</field><span style="font-size: 10.5pt;">
			</span><label style="font-size: 10.5pt;"> 国籍 </label><span style="font-size: 10.5pt;">
			</span><field tabindex="0" id="国籍" name="PA_NATIONALITY_NAME" class="blank input" type="DropdownList" value="" title="国     籍" style="font-size: 10.5pt;">国     籍</field></p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">（年龄不足1周岁的）年龄 </label>
			<field tabindex="0" id="nl2_y" name="nl2_y" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="-" title="月龄" data-code="" validate="false" contenteditable="true" format="">月龄</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 月     新<span style="" data-remark-date="2023/4/29 21:29:24" class="">生儿</span>出生体重 </label>
<field tabindex="0" id="AR_FP_BRITHWEIGHT" name="AR_FP_BRITHWEIGHT" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="-" title="出生体重" data-code="" validate="false" contenteditable="true" format="" data-create-date="2023/5/5 12:19:26">20</field>&nbsp;<label style=" font-family: 宋体; font-size: 10.5pt;"> 克  新生儿入院体重</label>
			<field tabindex="0" id="AR_FP_INPWEIGHT" name="AR_FP_INPWEIGHT" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="-" title="入院体重" data-code="" validate="false" contenteditable="true" format="">入院体重</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">克</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">出生地 </label>
			<field tabindex="0" id="csd_s" name="csd_s" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="省" data-code="" validate="false" contenteditable="true" format="">省</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">省(区、市)</label>
			<field tabindex="0" id="市" name="csd_shi" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="市">市</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">市</label>
			<field tabindex="0" id="县" name="csd_x" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="县">县</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">县(区) 籍贯 </label>
			<field tabindex="0" id="AR_FP_ORIGIN_S" name="AR_FP_ORIGIN_S" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="省" data-code="" validate="false" contenteditable="true" format="" data-orgin="" data-author="bensenplus" data-create-date="2023/5/5 12:44:29"></field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">省(区、市)</label>
			<field tabindex="0" id="AR_FP_ORIGIN_SHI" name="AR_FP_ORIGIN_SHI" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="市" data-code="" validate="false" contenteditable="true" format="" data-create-date="2023/5/5 12:44:34">市</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">市  <span style="" data-remark-date="2023/4/29 21:29:19" class="">民</span>族 </label>
			<field tabindex="0" id="民族" name="PA_NATION_NAME" class="blank input" style="outline: none;" type="DropdownList" value="" title="民族">民族</field>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">身份证件类别 </label>
			<field tabindex="0" id="证件类别" name="ZJLB" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;居民身份证&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;居民户口簿&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;护照&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;军官证&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;驾驶证&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;港澳居民来往内地通行证&quot;,&quot;Value&quot;:&quot;6&quot;},{&quot;Text&quot;:&quot;台湾居民来往内地通行证&quot;,&quot;Value&quot;:&quot;7&quot;},{&quot;Text&quot;:&quot;其他法定有效证件&quot;,&quot;Value&quot;:&quot;8&quot;}]" value="" title="居民身份证">居民身份证</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 证件号 </label>
			<field tabindex="0" id="PA_IDENTITYCARD" name="PA_IDENTITYCARD" class="input blank" style="font-family: 宋体; font-size: 10.5pt; position: relative;" type="Text" validate="false" value="" title="证    件    号" data-code="" contenteditable="true" format="">证    件    号</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 职业 </label>
			<field tabindex="0" id="职业" name="PA_OCCUPATION" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="职 业">职 业</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  婚姻 </label>
			<field tabindex="0" id="婚姻" name="PA_AMRRIAGE_STATUS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;未婚&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;已婚&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;丧偶&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;离婚&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;其他&quot;,&quot;Value&quot;:&quot;9&quot;}]" value="" title="未婚">未婚</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">现住址 </label>
			<field tabindex="0" id="AR_FP_CURRENT_ADDRESS" name="AR_FP_CURRENT_ADDRESS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="[          省（区、市）     市    县     ]" data-code="" validate="false" contenteditable="true" format="">[          省（区、市）     市    县     ]</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 电话 </label>
			<field tabindex="0" id="AR_FP_CURRENT_TELEPHONE" name="AR_FP_CURRENT_TELEPHONE" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="电              话" data-code="" validate="false" contenteditable="true" format="">电              话</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  邮编 </label>
			<field tabindex="0" id="AR_FP_CURRENT_ZIP" name="AR_FP_CURRENT_ZIP" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="现住址邮编" data-code="" validate="false" contenteditable="true" format="">现住址邮编</field>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">户口地址 </label>
			<field tabindex="0" id="PA_RPE_ADDRESS" name="PA_RPE_ADDRESS" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="[        省（区、市）     市    县              ]" orgin="" author="admin" data-code="" validate="false" contenteditable="true" format="">[        省（区、市）     市    县              ]</field>
			<span style="background-color: white;"><label style=" font-family: 宋体; font-size: 10.5pt;" data-remark-date="2023/4/29 21:41:40" class=""> 邮编 </label>
			<field tabindex="0" id="PA_RPE_POSTALCODE" name="PA_RPE_POSTALCODE" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="户口邮编" data-code="" validate="false" contenteditable="true" format="">户口邮编</field>
		</span></p><p style="font-family: 宋体; font-size: 10.5pt; outline: none;">
			<span style="background-color: white;"><label style=" font-family: 宋体; font-size: 10.5pt;">工作单位及地址 </label>
			<field tabindex="0" id="PA_WORK_UNIT" name="PA_WORK_UNIT" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="工   作   单   位   及    地    址" orgin="" author="admin" data-code="" validate="false" contenteditable="true" format="">工   作   单   位   及    地    址</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 单位电话 </label>
			<field tabindex="0" id="PA_W_PHONE" name="PA_W_PHONE" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="单   位   电   话" orgin="" author="admin" data-code="" validate="false" contenteditable="true" format="">单   位   电   话</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 邮编 </label>
			<field tabindex="0" id="PA_W_POSTALCODE" name="PA_W_POSTALCODE" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="单位邮编" data-code="" validate="false" contenteditable="true" format="">单位邮编</field>
		</span></p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<span style="background-color: white;"><label style=" font-family: 宋体; font-size: 10.5pt;">联系人姓名 </label>
			<field tabindex="0" id="PA_LINKMAN_NAME" name="PA_LINKMAN_NAME" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="联系人姓名" data-code="" validate="false" contenteditable="true" format="">联系人姓名</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 关系 </label>
			<field tabindex="0" id="关系" name="PA_LM_RAPPORT" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="联系人关系">联系人关系</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 地址 </label>
			<field tabindex="0" id="PA_LM_ADDRESS" name="PA_LM_ADDRESS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="联   系   人   地    址" data-code="" validate="false" contenteditable="true" format="">联   系   人   地    址</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 电话 </label>
			<field tabindex="0" id="PA_LM_PHONE" name="PA_LM_PHONE" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="联系人电话" data-code="" validate="false" contenteditable="true" format="">联系人电话</field>
		</span></p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<span style="background-color: white;"><label style=" font-family: 宋体; font-size: 10.5pt;">入院途径 </label>
			<field tabindex="0" id="入院途径" name="AR_FP_AL_ADMISSION" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-急诊&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-门诊&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-其他医疗机构转入&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;9-其他&quot;,&quot;Value&quot;:&quot;9&quot;}]" value="" title="1-急诊">1-急诊</field>
			</span><label style=" font-family: 宋体; font-size: 10.5pt;"><span style="background-color: white;"> 1.急诊</span> 2.门诊 3.其他医疗机构转入,转诊医疗机构名称</label>
			<field tabindex="0" id="ZZJGMC" name="ZZJGMC" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="转诊医疗机构名称" data-code="" validate="false" contenteditable="true" format="">转诊医疗机构名称</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  9.其他</label>
		</p><p style="font-family: 宋体; font-size: 10.5pt; outline: none;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">入院时间 </label><field tabindex="0" class="input" style=" font-family: 宋体; font-size: 10.5pt;" id="入院时间" name="PA_DIAGNOSE_DATE" type="DateTime" format="yyyy年MM月dd日 HH时" value="" title="入    院    时    间">入    院    时    间</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 入院科别 </label>
			<field tabindex="0" id="入院科别" name="PA_RYKB_NAME" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="入 院 科 别">入 院 科 别</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 病房 </label>
			<field tabindex="0" id="AR_FP_AL_HOSPITALWARDS" name="AR_FP_AL_HOSPITALWARDS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="入院病房" data-code="" validate="false" contenteditable="true" format="">入院病房</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 转科科别 </label>
			<field tabindex="0" id="转科科别" name="PA_DISPLACE_KB_NAME" class=" input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="-" title="转科科别">
			<label style=" font-family: 宋体; font-size: 10.5pt;">-</label></field>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">出院时间 </label><field tabindex="0" class="input" style=" font-family: 宋体; font-size: 10.5pt;" id="出院时间" name="PA_LEAVEHOSPITAL_PATIENT" type="DateTime" format="yyyy年MM月dd日 HH时" value="" title="出    院    时    间">出    院    时    间</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 出院科别 </label>
			<field tabindex="0" id="出院科别" name="PA_LEAVEHOSPITAL_BE_NAME" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="出 院 科 别">出 院 科 别</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 病房 </label>
			<field tabindex="0" id="AR_FP_AL_DISCHARGEWARD" name="AR_FP_AL_DISCHARGEWARD" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="出院病房" data-code="" validate="false" contenteditable="true" format="">出院病房</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 实际住院 </label>
			<field tabindex="0" id="SJZYTS" name="SJZYTS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="Text" value="" title="天数" data-code="" validate="false" contenteditable="true" format="">天数</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 天</label>
		</p><p style="font-family: 宋体; font-size: 10.5pt; outline: none;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">门（急）诊诊断 </label>&nbsp;<field tabindex="0" type="DataList" class="input blank" title="门急诊诊断" data="https://www.x-emr.cn/icd.json" style="font-size: 10.5pt;" id="diag" name="diag" validate="false" data-codepos="1" value="J00.x00x002" contenteditable="true">门急诊诊断</field><span style="font-size: 10.5pt; outline: none;">&nbsp;</span><span style="font-size: 10.5pt;">&nbsp;</span><label style="font-size: 10.5pt;"> 疾病编码 </label><span style="font-size: 10.5pt;">
			</span><field tabindex="0" id="AR_FP_AL_WM_ICD" name="AR_FP_AL_WM_ICD" class="input blank" type="Text" value="" title="疾病编码" style="font-size: 10.5pt;" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
			</tr><tr style="height: 0.915254cm; outline: none;">
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt; outline: none; background-image: url(&quot;&quot;); background-repeat: no-repeat; background-size: 100% 100%;" colspan="3" id="" title="">
		<p style="font-family: 宋体; font-size: 10.5pt; text-align: center; outline: none;"><label style=" font-family: 宋体; font-size: 10.5pt;">&nbsp; &nbsp; &nbsp; <span  data-remark="表格头支持斜线效果；" data-remark-date="2023/4/29 22:17:29" data-author="admin" class="remark">斜线</span></label></p><p style="font-family: 宋体; font-size: 10.5pt; text-align: center; outline: none;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">出院诊断</label></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">疾病编码</label></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt; outline: none;">
		<p style="font-family: 宋体; font-size: 10.5pt; text-align: center; outline: none;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">入院</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">病情</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">出院诊断</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">疾病编码</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">入院病情</label></p></td>
			</tr>
			<tr>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;"><span  data-remark="1.输入诊断名称；
	
	2.诊断支持拼音码检索；
	
	3.选择诊断后自动带入疾病编码；" data-remark-date="2023/4/29 22:20:27" data-author="admin" class="remark">主要诊断</span>：</label>&nbsp;<field tabindex="0" type="DataList" class="input blank" title="主要诊断" data="https://www.x-emr.cn/icd.json" id="main" name="main" validate="false" data-codepos="1" value="J00.x00x002" style="font-size: 10.5pt;" contenteditable="true">主要诊断</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码0" name="zd0_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">J00.x00x002</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况0" name="zd0_bq" class="input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="1" title="1-有">1-有</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="3">
		<p style="font-family: 宋体; font-size: 10.5pt; outline: none;"><label style="">其他诊断：</label><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码11" name="zd11_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">R51.x00</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况11" name="zd11_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr style="height: 24px; outline: none;">
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42914pt; padding-right: 3.90625pt; outline: none;" colspan="3">
		<p style="font-family: 宋体; font-size: 10.5pt; outline: none;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">其他诊断：</label>&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt; outline: none;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码1" name="zd1_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">Q21.200</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况1" name="zd1_bq" class="input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="1" title="1-有">1-有</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码12" name="zd12_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况12" name="zd12_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt; width: 228px;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="B01.900x002" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码2" name="zd2_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">B01.900x002</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况2" name="zd2_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码13" name="zd13_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况13" name="zd13_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr style="height: 24px;">
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="N92.600" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码3" name="zd3_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">N92.600</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况3" name="zd4_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码14" name="zd14_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况14" name="zd14_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr style="height: 24px;">
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42913pt; padding-right: 3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd4_bm" name="zd4_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况4" name="zd4_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码15" name="zd15_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况15" name="zd15_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd5_bm" name="zd5_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况5" name="zd5_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="疾病编码16" name="zd16_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况16" name="zd16_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd6_bm" name="zd6_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况6" name="zd6_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field325" name="zd17_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况17" name="zd17_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr style="height: 25px;">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd7_bm" name="zd7_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况7" name="zd7_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field328" name="zd18_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况18" name="zd18_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd8_bm" name="zd8_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况8" name="zd8_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field331" name="zd19_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况19" name="zd19_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr style="outline: none;">
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 4.42914pt; padding-right: 3.90625pt; outline: none;" colspan="3">
		<p style="font-family: 宋体; font-size: 10.5pt; outline: none;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd9_bm" name="zd9_bm" class="input blank" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="" data-create-date="2023/5/5 12:51:00">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况9" name="zd9_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="D69.000x007" style="font-size: 10.5pt;" contenteditable="true" data-create-date="2023/5/5 12:51:18">恶性紫癜</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field334" name="zd20_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">D69.000x007</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况20" name="zd20_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;"><field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="zd10_bm" name="zd10_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码" data-code="" validate="false" contenteditable="true" format="">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况10" name="zd10_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field337" name="zd21_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况21" name="入院情况" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="6">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">入院病情：1.有，2.临床未确定，3.情况不明，4.无</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt;">&nbsp;<field tabindex="0" type="DataList" class="input blank" title="其他诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="true">其他诊断</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field340" name="zd22_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="疾病编码">疾病编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:4.429135pt;padding-right:3.90625pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="入院情况22" name="zd22_bq" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-临床未确定&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-情况不明&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-无&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-有">1-有</field></p></td>
			</tr>
			<tr style="height:0.7966101694915254cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">损伤、 中毒的外部原因 </label>
			<field tabindex="0" id="损伤中毒的外部原因" name="zd24_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="损伤、 中毒的外部原因">损伤、 中毒的外部原因</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 疾病编码 </label>
			<field tabindex="0" id="中毒疾病编码" name="zd24_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="中毒疾病编码">中毒疾病编码</field></p></td>
			</tr>
			<tr style="height:1.076271186440678cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">病理诊断：</label>&nbsp;<span style="font-size: 10.5pt;">&nbsp;</span><field tabindex="0" type="DataList" class="input blank" title="病理诊断" data="https://www.x-emr.cn/icd.json" id="other" name="other" validate="false" data-codepos="1" value="Q21.200" style="font-size: 10.5pt;" contenteditable="false">病理诊断</field><span style="font-size: 10.5pt;">&nbsp;</span><label style="font-size: 10.5pt;"> 疾病编码 </label><span style="font-size: 10.5pt;">
			</span><field tabindex="0" id="病理疾病编码" name="zd25_bm" class="blank input" type="Text" value="" title="病理疾病编码" style="font-size: 10.5pt;">病理疾病编码</field></p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<field tabindex="0" id="field307" name="AR_FP_AFTER_PATHOLOGY_REULT" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title=""></field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
			<label style=" font-family: 宋体; font-size: 10.5pt;">病理号 </label>
			<field tabindex="0" id="病理号" name="AR_FP_AFTER_PATHOLOGY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="病理号">病理号</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> ICD-O-3</label>
			<label style=" font-family: 宋体; font-size: 10.5pt;">- </label>
			<field tabindex="0" id="ICD-O-3" name="BLH" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="ICD-O-3">ICD-O-3</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label></p></td>
			</tr>
			<tr style="height:0.635593220338983cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">最高诊断依据</label>
			<field tabindex="0" id="最高诊断依据" name="ZGZDYJ" class=" input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;病理(包括细胞学、尸检)&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;内镜&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;血管造影&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;MR&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;CT&quot;,&quot;Value&quot;:&quot;6&quot;},{&quot;Text&quot;:&quot;X线&quot;,&quot;Value&quot;:&quot;7&quot;},{&quot;Text&quot;:&quot;超声&quot;,&quot;Value&quot;:&quot;8&quot;},{&quot;Text&quot;:&quot;心电图&quot;,&quot;Value&quot;:&quot;9&quot;},{&quot;Text&quot;:&quot;生化、免疫&quot;,&quot;Value&quot;:&quot;10&quot;},{&quot;Text&quot;:&quot;临床表现&quot;,&quot;Value&quot;:&quot;11&quot;},{&quot;Text&quot;:&quot;其他&quot;,&quot;Value&quot;:&quot;12&quot;}]" value="病理(包括细胞学" title="病理(包括细胞学">病理(包括细胞学</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">药物过敏 </label>
			<field tabindex="0" id="药物过敏" name="AR_FP_ALLERGICCONTENT" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-无&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-有&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-无">1-无</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.无2.有 过敏药物：</label>
			<field tabindex="0" id="过敏药物" name="AR_FP_ALLERGICCONTENT_MED" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="过敏药物">过敏药物</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 死亡患者尸检 </label>
			<field tabindex="0" id="死亡患者尸检" name="AR_FP_ANAUTOPSY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.是2.否</label></p></td>
			</tr>
			<tr style="height:0.6864406779661016cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">血型  </label>
			<field tabindex="0" id="血型" name="AR_FP_BLOOD" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-A&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-B&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-O&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-AB&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;5-不详&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;6-未查&quot;,&quot;Value&quot;:&quot;6&quot;}]" value="" title="1-A">1-A</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.A  2.B  3.O  4.AB  5.不详  6.未查       Rh </label>
			<field tabindex="0" id="Rh" name="AR_FP_RH" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-阴&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-阳&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-不详&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-未查&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-阴">1-阴</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  1.阴 2.阳 3.不详 4.未查</label></p></td>
			</tr>
			<tr style="height:0.6864406779661016cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">护理级别： 1.特级护理</label>
			<field tabindex="0" id="特级护理" name="TJHL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-decoration: underline; text-align: Center;" type="Text" value="" title=""></field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">天  2.I级护理</label>
			<field tabindex="0" id="一级护理" name="YJHL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-decoration: underline; text-align: Center;" type="Text" value="" title=""></field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">天  3.II级护理</label>
			<field tabindex="0" id="二级护理" name="EJHL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-decoration: underline; text-align: Center;" type="Text" value="" title=""></field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">天  4.III级护理</label>
			<field tabindex="0" id="三级护理" name="SJHL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-decoration: underline; text-align: Center;" type="Text" value="" title=""></field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">天</label></p></td>
			</tr>
			<tr style="height:1.3644067796610169cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">科主任</label>
			<field tabindex="0" id="科主任-人员选择" name="AR_FP_DIRECTOR" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="科主任">科主任</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 医疗组长</label>
			<field tabindex="0" id="医疗组长-人员选择" name="YLZZ" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="组长">组长</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 主任（副主任）医师</label>
			<field tabindex="0" id="主任（副主任）医师-人员选择" name="AR_FP_DEPUTYDIRECTOR" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="主任/副主任">主任/副主任</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 主治医师 </label>
			<field tabindex="0" id="主治医师-人员选择" name="AR_FP_TA_PHYSICIAN" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="主治医师">主治医师</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 住院医师 </label>
			<field tabindex="0" id="住院医师-人员选择" name="AR_FP_RESIDENCY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="住院医师">住院医师</field>
		</p><p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">责任护士 </label>
			<field tabindex="0" id="责任护士" name="AR_FP_GRADUATEINTERNS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="责任护士">责任护士</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  进修医师 </label>
			<field tabindex="0" id="进修医师-人员选择" name="AR_FP_FURTHERPHYSICIANS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="进修医师">进修医师</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  实习医师 </label>
			<field tabindex="0" id="实习医师-人员选择" name="AR_FP_INTERN" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="实习医师">实习医师</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 编码员 </label>
			<field tabindex="0" id="编码员-人员选择" name="AR_FP_CODERS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="编码员">编码员</field></p></td>
			</tr>
			<tr style="height:0.847457627118644cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">病案质量 </label>
			<field tabindex="0" id="病案质量" name="AR_FP_MEDICALQUALITY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-甲&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-乙&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-丙&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="1-甲">1-甲</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.甲 2.乙 3.丙 质控医师 </label>
			<field tabindex="0" id="质控医师-人员选择" name="AR_FP_QCPHYSICIANS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="质控医师">质控医师</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 质控护士 </label>
			<field tabindex="0" id="质控护士" name="AR_FP_QCNURSES" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="质控护士">质控护士</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 质控日期 </label><field tabindex="0" class="input" style=" font-family: 宋体; font-size: 10.5pt;" id="质控日期" name="AR_FP_RSDATE" type="DateTime" format="yyyy年MM月dd日" value="" title="质控日期">质控日期</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">手术及</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">操作编码</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">手术及</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">操作日期</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;"><span  data-remark="1.输入手术名称；
	
	2.手术支持拼音码检索；
	
	3.选择手术后自动带入手术编码；" data-remark-date="2023/4/29 22:30:07" data-author="admin" class="remark">手术及操作名称</span></label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">手术级别</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">择期/急症</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;" colspan="3">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">手术及操作医师</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">切口愈合等级</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">麻醉方式</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">麻醉医师</label></p></td>
			</tr>
			<tr>
				<td style="">
		<p style=""></p></td>
				<td style="">
		<p style=""></p></td>
				<td style="">
		<p style=""></p></td>
				<td style="">
		<p style=""></p></td>
				<td style="">
		<p style=""></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">术者</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">Ⅰ助</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">Ⅱ助</label></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=""></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:2.952755pt;padding-right:2.34375pt;">
		<p style=""></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 2.95275pt; padding-right: 2.34375pt;" rowspan="1" colspan="2">
		<p style=""></p></td>
				
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码0" name="ss0_bm" class="input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">43.504</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期0" name="ss0_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">&nbsp;<field tabindex="0" type="DataList" class="input" title="手术名称" data="/icd9.json" id="icd9" name="icd9" validate="false" data-codepos="-2" value="43.504">食管胃切除术</field>&nbsp;</p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别0" name="ss0_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症0" name="ss0_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者0-人员选择" name="ss0_sz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助0-人员选择" name="ss0_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助0-人员选择" name="ss0_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级0" name="ss0_qkyh" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="" title="0">0</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式0" name="ss0_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师0-人员选择" name="ss0_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr style="height: 0.690678cm; outline: none;">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码1" name="ss1_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期1" name="ss1_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt; outline: none;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称1" name="ss1_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别1" name="ss1_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症1" name="ss1_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者1-人员选择" name="ss1_sz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助1-人员选择" name="ss1_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助1-人员选择" name="ss1_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级1" name="ss1_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式1" name="ss1_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师1-人员选择" name="ss1_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码2" name="ss2_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期2" name="ss2_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称2" name="ss2_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别2" name="ss2_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症2" name="ss2_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者2-人员选择" name="ss2_sz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助2-人员选择" name="ss2_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助2-人员选择" name="ss2_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级2" name="ss2_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式2" name="ss2_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师2-人员选择" name="ss2_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码3" name="ss3_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期3" name="ss3_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称3" name="ss3_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别3" name="ss3_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症3" name="ss3_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者3-人员选择" name="ss3_sz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助3-人员选择" name="ss3_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助3-人员选择" name="ss3_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级3" name="ss3_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式3" name="ss3_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师3-人员选择" name="ss3_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码4" name="ss4_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期4" name="ss4_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称4" name="ss4_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别4" name="ss4_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症4" name="ss4_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style="font-family: 宋体; font-size: 10.5pt; padding-left: 1.47638pt; padding-right: 0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者4-人员选择" name="ss4_sz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助4-人员选择" name="ss4_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助4-人员选择" name="ss4_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级4" name="ss4_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式4" name="ss4_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师4-人员选择" name="ss4_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码5" name="ss5_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期5" name="ss5_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称5" name="ss5_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别5" name="ss5_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症5" name="ss5_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者5-人员选择" name="ss5_sz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助5-人员选择" name="ss5_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助5-人员选择" name="ss5_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级5" name="ss5_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式5" name="ss5_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师5-人员选择" name="ss5_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码6" name="ss6_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期6" name="ss6_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称6" name="ss6_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别6" name="ss6_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症6" name="ss6_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者6-人员选择" name="SSJZZYS_SS7" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助6-人员选择" name="ss6_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助6-人员选择" name="ss6_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级6" name="ss6_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式6" name="ss6_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师6-人员选择" name="ss6_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术及操作编码7" name="ss7_bm" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;"><field tabindex="0" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" id="手术及操作日期7" name="ss7_rq" type="DateTime" format="yyyyMMdd" value="" title="日期">日期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术名称7" name="ss7_mc" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="手术名称">手术名称</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="手术级别7" name="ss7_ssjb" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-一级手术&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-二级手术&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-三级手术&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-四级手术&quot;,&quot;Value&quot;:&quot;4&quot;}]" value="" title="1-一级手术">1-一级手术</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="择期急症7" name="ss7_zqjz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;择期&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;急症&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="择期">择期</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="术者7-人员选择" name="SSJZZYS_SS8" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="术者">术者</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅰ助7-人员选择" name="ss7_yz" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅰ助">Ⅰ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="Ⅱ助7-人员选择" name="ss7_ez" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="Ⅱ助">Ⅱ助</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="切口愈合等级7" name="ss7_qkyh" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;Ⅰ/甲&quot;},{&quot;Text&quot;:&quot;Ⅱ/甲&quot;},{&quot;Text&quot;:&quot;Ⅲ/甲&quot;},{&quot;Text&quot;:&quot;Ⅰ/乙&quot;},{&quot;Text&quot;:&quot;Ⅱ/乙&quot;},{&quot;Text&quot;:&quot;Ⅲ/乙&quot;},{&quot;Text&quot;:&quot;Ⅰ/丙&quot;},{&quot;Text&quot;:&quot;Ⅱ/丙&quot;},{&quot;Text&quot;:&quot;Ⅲ/丙&quot;},{&quot;Text&quot;:&quot;Ⅰ/其他&quot;},{&quot;Text&quot;:&quot;Ⅱ/其他&quot;},{&quot;Text&quot;:&quot;Ⅲ/其他&quot;}]" value="/" title="/">/</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉方式7" name="ss7_mzfs" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉方式">麻醉方式</field></p></td>
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:1.476378pt;padding-right:0.78125pt;" colspan="2">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;">
			<field tabindex="0" id="麻醉医师7-人员选择" name="ss7_mzys" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="麻醉医师">麻醉医师</field></p></td>
			</tr>
			<tr style="height:0.8813559322033898cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">临床路径：入径情况</label>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
			<field tabindex="0" id="入径情况" name="RJQK" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-空&quot;,&quot;Value&quot;:&quot;-&quot;}]" value="-" title="-空">-空</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.是 2.否  完成情况 </label>
			<field tabindex="0" id="完成情况" name="WCQK" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-完成&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-退出&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-空&quot;,&quot;Value&quot;:&quot;-&quot;}]" value="-" title="-空">-空</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  1.完成 2.</label>
			<label style=" font-family: 宋体; font-size: 10.5pt;">退出  </label>
			<label style=" font-family: 宋体; font-size: 10.5pt;">变异情况 </label>
			<field tabindex="0" id="变异情况" name="BYQK" class="input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-空&quot;,&quot;Value&quot;:&quot;-&quot;}]" value="-" title="-空">-空</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  1.有 2.</label>
			<label style=" font-family: 宋体; font-size: 10.5pt;">无</label></p></td>
			</tr>
			<tr style="height:1.2372881355932204cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">离院方式 </label>
			<field tabindex="0" id="离院方式" name="AR_FP_OUTHOASPITAL_TYPE" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-医嘱离院&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-医嘱转院&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-医嘱转社区卫生服务机构/乡镇卫生院&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-非医嘱离院&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;5-死亡&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;9-其他&quot;,&quot;Value&quot;:&quot;9&quot;}]" value="1" title="1-医嘱离院">1-医嘱离院</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.医嘱离院 2.医嘱转院，拟接收机构名称：</label>
			<field tabindex="0" id="拟接收机构名称" name="AR_FP_RECEPT_UNIT" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="拟接收机构名称">拟接收机构名称</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 非医嘱转院</label>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
			<field tabindex="0" id="非医嘱转院" name="FYZZY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;—-—&quot;,&quot;Value&quot;:&quot;-&quot;},{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="—-—">—-—</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">3.医嘱转社区卫生服务机构/乡镇卫生院，拟接收机构名称：</label>
			<field tabindex="0" id="field270" name="AR_FP_RECEPT_HOMEUNIT" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="拟接收机构名称">拟接收机构名称</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  4.非医嘱转院 5.死亡 9.其他</label></p></td>
			</tr>
			<tr style="height:1.0084745762711864cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">是否有出院31天内再住院计划 </label>
			<field tabindex="0" id="再住院计划" name="AR_FP_PLAN_REINP" class=" input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-无&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-有&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="1" title="1-无">1-无</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.无 2.有 目的：</label>
			<field tabindex="0" id="目的" name="AR_FP_PLAN_REINP_PURPOSE" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="目的">目的</field></p></td>
			</tr>
			<tr style="height:1.0254237288135593cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt; text-align: Justify;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">颅脑损伤患者昏迷时间：入院前 </label>
			<field tabindex="0" id="前昏迷时间（天）" name="AR_FP_BEFORE_COMA_D" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="天数">天数</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">天 </label>
			<field tabindex="0" id="前昏迷时间（小时）" name="AR_FP_BEFORE_COMA_H" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="小时">小时</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">小时</label>
			<field tabindex="0" id="前昏迷时间（分钟）" name="AR_FP_BEFORE_COMA_M" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="分钟">分钟</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">分钟     入院后 </label>
			<field tabindex="0" id="后昏迷时间（天）" name="AR_FP_AFTER_COMA_D" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="天数">天数</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">天 </label>
			<field tabindex="0" id="后昏迷时间（小时）" name="AR_FP_AFTER_COMA_H" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="小时">小时</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">小时 </label>
			<field tabindex="0" id="后昏迷时间（分钟）" name="AR_FP_AFTER_COMA_M" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="分钟">分钟</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">分钟</label></p></td>
			</tr>
			<tr style="height:8.330508474576272cm">
				<td style=" font-family: 宋体; font-size: 10.5pt;padding-left:5.5pt;padding-right:5.46875pt;" colspan="12">
		<p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">入院诊断 </label>
			<field tabindex="0" id="入院诊断" name="RYZD" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="DropdownList" value="" title="入院诊断">入院诊断</field>
			<field tabindex="0" id="入院诊断编码" name="RYZDBM" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="编码">编码</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 出院情况:</label>
			<field tabindex="0" id="出院情况" name="CYQK" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-治愈&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-好转&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-未愈&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-死亡&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;5-自动出院&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;6-其他&quot;,&quot;Value&quot;:&quot;6&quot;}]" value="" title="1-治愈">1-治愈</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1.治愈 2.好转 3.未愈 4.死亡 5.自动出院 6.其他</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">诊断符合情况：门诊与出院 </label>
			<field tabindex="0" id="门诊与出院" name="MZYCY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未做&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-符合&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-不符合&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-不肯定&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="0-未做">0-未做</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 入院与出院 </label>
			<field tabindex="0" id="入院与出院" name="RYYCY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未做&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-符合&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-不符合&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-不肯定&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="0-未做">0-未做</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 术前与术后 </label>
			<field tabindex="0" id="术前与术后" name="SQYSH" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未做&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-符合&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-不符合&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-不肯定&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="0-未做">0-未做</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 临床与病理 </label>
			<field tabindex="0" id="临床与病理" name="LCYBL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未做&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-符合&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-不符合&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-不肯定&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="0-未做">0-未做</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 放射与病理 </label>
			<field tabindex="0" id="放射与病理" name="FSYBL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未做&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-符合&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-不符合&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-不肯定&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="0-未做">0-未做</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">0、未做 1、符合 2、不符合 3、不肯定 医院感染 </label>
			<field tabindex="0" id="医院感染" name="YYGR" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-有">1-有</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、有 2、无 感染名称</label>
			<label style=" font-family: 宋体; font-size: 10.5pt;">：</label>
			<field tabindex="0" id="field282" name="GRMC" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="感染名称">感染名称</field>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">危重抢救：</label>
			<field tabindex="0" id="危重抢救" name="WZQJ" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-有">1-有</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、有 2、无 抢救次数 </label>
			<field tabindex="0" id="field284" name="QJCS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="Text" value="" title="抢救次数">抢救次数</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  成功次数 </label>
			<field tabindex="0" id="field285" name="CGCS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="Text" value="" title="成功次数">成功次数</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">术后非预期重返手术室再手术：</label>
			<field tabindex="0" id="术后非预期重返手术室再手术:" name="ZSS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-" -其他","value":"-"}]="" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、是 2、否       手术中异物遗留：</label>
			<field tabindex="0" id="手术中异物遗留" name="YWYL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-" -其他","value":"-"}]="" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、是 2、否</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">手术中死亡：</label>
			<field tabindex="0" id="手术中死亡" name="SSZSW" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-" -其他","value":"-"}]="" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、是 2、否    手术后死亡 </label>
			<field tabindex="0" id="手术后死亡" name="SSHSW" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-" -其他","value":"-"}]="" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  1、是 2、否    医源性气胸 </label>
			<field tabindex="0" id="医源性气胸" name="YYXQX" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-有">1-有</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、有 2、无</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">医源性切、穿刺伤：</label>
			<field tabindex="0" id="医源性切、穿刺伤" name="YYXCS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-有">1-有</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、有 2、无     医源性撕裂伤：</label>
			<field tabindex="0" id="医源性撕裂伤" name="YYXSLS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-有">1-有</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、有 2、无 </label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">患者因同一疾病再住院：</label>
			<field tabindex="0" id="患者因同一疾病再住院" name="TYJBZZY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-15日内再住院&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-31日内再住院&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-无&quot;,&quot;Value&quot;:&quot;3&quot;}]" value="" title="1-15日内再住院">1-15日内再住院</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、15日内再住院 2、31日内再住院 3.无</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">因用药错误导致患者死亡：</label>
			<field tabindex="0" id="因用药错误导致患者死亡" name="YYCWSW" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-" -其他","value":"-"}]="" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、是 2、否 由麻醉医师实施心肺复苏治疗成功 </label>
			<field tabindex="0" id="由麻醉医师实施心肺复苏治疗成功" name="XFFSCG" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未做&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="0-未做">0-未做</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 0、未做 1、是 2、否</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">输液反应：</label>
			<field tabindex="0" id="输液反应" name="SYFY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未输&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="0-未输">0-未输</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 0、未输 1、有 2、无    输血反应：</label>
			<field tabindex="0" id="输血反应" name="SXFY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未输&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-有&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-无&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="0-未输">0-未输</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 0、未输 1、有 2、无</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">输血品种：1、红细胞</label>
			<field tabindex="0" id="红细胞" name="HXB" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="红细胞">红细胞</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">u 2、血小板</label>
			<field tabindex="0" id="血小板" name="XXB" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="血小板">血小板</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">治疗量 3、血浆</label>
			<field tabindex="0" id="血浆" name="XJ" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="Text" value="" title="血浆">血浆</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">ml 4、冷沉淀</label>
			<field tabindex="0" id="冷沉淀" name="QX" class="blank input" style=" font-family: 宋体; font-size: 10.5pt;" type="Text" value="" title="冷沉淀">冷沉淀</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">u 5、其他</label>
			<field tabindex="0" id="其他" name="QT" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="Text" value="" title="其他">其他</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> </label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">抗生素使用情况：</label>
			<field tabindex="0" id="抗生素使用情况" name="KJSSYQK" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;0-未用&quot;,&quot;Value&quot;:&quot;0&quot;},{&quot;Text&quot;:&quot;1-预防&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-治疗&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="0-未用">0-未用</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 0、未用 1、预防 2、治疗   细菌培养及药敏实验：</label>
			<field tabindex="0" id="细菌培养及药敏实验" name="YMSY" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-已送检&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-未送检&quot;,&quot;Value&quot;:&quot;2&quot;}]" value="" title="1-已送检">1-已送检</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、已送检 2、未送检</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">择期手术：</label>
			<field tabindex="0" id="择期手术" name="ZQSS" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-是&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-否&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;-" -其他","value":"-"}]="" value="" title="1-是">1-是</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、是 2、否  择期手术后并发症：</label>
			<field tabindex="0" id="择期手术后并发症1" name="ZQSSBFZ1" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-手术并发症（严重但可治疗）导致的死亡&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-手术后伤口裂开&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-手术后肺栓塞或深静脉血栓&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-手术后出血或血肿&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;5-手术后髋关节骨折&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;6-手术后生理与代谢紊乱&quot;,&quot;Value&quot;:&quot;6&quot;},{&quot;Text&quot;:&quot;7-手术后呼吸衰竭&quot;,&quot;Value&quot;:&quot;7&quot;},{&quot;Text&quot;:&quot;8-手术后败血症&quot;,&quot;Value&quot;:&quot;8&quot;},{&quot;Text&quot;:&quot;-" -空","value":"-"}]="" value="" title="1-手术并发症（严重但可治疗）导致的死亡">1-手术并发症（严重但可治疗）导致的死亡</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  </label>
			<field tabindex="0" id="择期手术后并发症2" name="ZQSSBFZ2" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-手术并发症（严重但可治疗）导致的死亡&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-手术后伤口裂开&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-手术后肺栓塞或深静脉血栓&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-手术后出血或血肿&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;5-手术后髋关节骨折&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;6-手术后生理与代谢紊乱&quot;,&quot;Value&quot;:&quot;6&quot;},{&quot;Text&quot;:&quot;7-手术后呼吸衰竭&quot;,&quot;Value&quot;:&quot;7&quot;},{&quot;Text&quot;:&quot;8-手术后败血症&quot;,&quot;Value&quot;:&quot;8&quot;},{&quot;Text&quot;:&quot;-" -空","value":"-"}]="" value="" title="1-手术并发症（严重但可治疗）导致的死亡">1-手术并发症（严重但可治疗）导致的死亡</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;">  </label>
			<field tabindex="0" id="择期手术后并发症3" name="ZQSSBFZ3" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-手术并发症（严重但可治疗）导致的死亡&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-手术后伤口裂开&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-手术后肺栓塞或深静脉血栓&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;4-手术后出血或血肿&quot;,&quot;Value&quot;:&quot;4&quot;},{&quot;Text&quot;:&quot;5-手术后髋关节骨折&quot;,&quot;Value&quot;:&quot;5&quot;},{&quot;Text&quot;:&quot;6-手术后生理与代谢紊乱&quot;,&quot;Value&quot;:&quot;6&quot;},{&quot;Text&quot;:&quot;7-手术后呼吸衰竭&quot;,&quot;Value&quot;:&quot;7&quot;},{&quot;Text&quot;:&quot;8-手术后败血症&quot;,&quot;Value&quot;:&quot;8&quot;},{&quot;Text&quot;:&quot;-" -空","value":"-"}]="" value="" title="1-手术并发症（严重但可治疗）导致的死亡">1-手术并发症（严重但可治疗）导致的死亡</field>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">    1、手术并发症（严重但可治疗）导致的死亡  2、手术后伤口裂开  3、手术后肺栓塞或深静脉血栓</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">    4、手术后出血或血肿  5、手术后髋关节骨折 6、手术后生理与代谢紊乱</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">    7、手术后呼吸衰竭  8、手术后败血症</label>
		</p><p style=" font-family: 宋体; font-size: 10.5pt;">
			<label style=" font-family: 宋体; font-size: 10.5pt;">产伤发生率：</label>
			<field tabindex="0" id="产伤发生率" name="CSFSL" class="blank input" style=" font-family: 宋体; font-size: 10.5pt; text-align: Center;" type="DropdownList" data="[{&quot;Text&quot;:&quot;1-产伤-新生儿&quot;,&quot;Value&quot;:&quot;1&quot;},{&quot;Text&quot;:&quot;2-产伤-器械辅助阴道分娩&quot;,&quot;Value&quot;:&quot;2&quot;},{&quot;Text&quot;:&quot;3-产伤-非器械辅助阴道分娩&quot;,&quot;Value&quot;:&quot;3&quot;},{&quot;Text&quot;:&quot;-" -空","value":"-"}]="" value="" title="1-产伤-新生儿">1-产伤-新生儿</field>
			<label style=" font-family: 宋体; font-size: 10.5pt;"> 1、产伤-新生儿 2、产伤-器械辅助阴道分娩 3、产伤-非器械辅助阴道分娩</label></p></td>
			</tr>
			</tbody><tfoot style="outline: none;"></tfoot></table></p><p>
			<label style=" font-family: 宋体; font-size: 10.5pt;">说明：（一）医疗付费方式  1.城镇职工基本医疗保险  2.城镇居民基本医疗保险  3.新型农村合作医疗  4.贫困       求助  5.商业医疗保险  6.全公费  7.全自费  8.其他社区保险  9.其他</label>
		</p>
	<div id="_footer" style="outline: none; position: relative; min-height: 1.54cm; padding-left: 1.54cm; padding-right: 1.54cm; padding-bottom: 0.77cm;" class="" contenteditable="false">
		<p style=" font-family: 宋体; font-size: 12pt; text-align: Center;">
			<label style=" font-family: 宋体; font-size: 9pt;">第</label>
			<field page="pageNum" style="font-size:10pt">1</field>
			<label style=" font-family: 宋体; font-size: 9pt;">页</label>
	</p></div>
	
	</div>
	<div style="position: absolute; z-index: 100002; display: none; top: 279.982px; left: 513.875px;" lang="zh-cn"><iframe hidefocus="true" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 228px;" width="9" height="7" frameborder="0"></iframe></div><div style="position: absolute; z-index: 100008; display: none; top: 1182.77px; left: 459.527px;" lang="zh-cn"><iframe hidefocus="true" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 205px;" width="9" height="7" frameborder="0"></iframe></div><div lang="zh-cn" style="position: absolute; z-index: 100010; display: none; top: 214.42px; left: 525.964px;"><iframe hidefocus="true" width="9" height="7" frameborder="0" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 228px;"></iframe></div><div lang="zh-cn" style="position: absolute; z-index: 100016; display: none; top: 1234.81px; left: 332.295px;"><iframe hidefocus="true" width="9" height="7" frameborder="0" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 228px;"></iframe></div><div lang="zh-cn" style="position: absolute; z-index: 100018; display: none; top: 224.984px; left: 857.688px;"><iframe hidefocus="true" width="9" height="7" frameborder="0" border="0" scrolling="no" src="about:blank" style="width: 218px; height: 232px;"></iframe></div></div><div lang="zh-cn" style="position: absolute; z-index: 100030; display: none; top: 413.92px; left: 449.964px;"><iframe hidefocus="true" width="9" height="7" frameborder="0" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 229px;"></iframe></div><div lang="zh-cn" style="position: absolute; z-index: 100038; display: none; top: 457.509px; left: 329.964px;"><iframe hidefocus="true" width="9" height="7" frameborder="0" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 229px;"></iframe></div><div style="position: absolute; z-index: 100044; display: none; top: 224.92px; left: 624.964px;" lang="zh-cn"><iframe hidefocus="true" width="9" height="7" frameborder="0" border="0" scrolling="no" src="about:blank" style="width: 217px; height: 205px;"></iframe></div>